Psoriasis – Complications And Local Treatments
Psoriasis is a chronic disease that is difficult to treat, it often causes skin itching, skin peeling, sometimes superinfection causing dermatitis, skin bleeding. Just a common psoriasis infection costs the patient and takes a lot of treatment time. If you have psoriasis but also with helminth infections in the blood, it will make the condition worse, sometimes at a standstill. The simultaneous detection and treatment of both problems will significantly improve psoriasis, bringing joy and comfort to many people.
The most common complication is arthritis and generalized skin redness.
a) Match joints
Occurs in all joints. Exacerbations in the joints and skin often occur at the same time. Manifestations are ankylosing spondylitis, polyarthritis (especially joints on the distal of the fingers), the Waaler Rose test (-)
b) Body redness
The exfoliative erythematosus occupies all or most of the skin, does not heal, scabs are small, sticky, the Brocq test (-), often itching.
c) Other complications
Less common are eczema, superinfection and skin cancer (rarely).
This is a difficult disease to treat. Depending on the location of each person will suit each drug, treatment to keep the skin from flaking and not drying the skin has achieved a good effect for the patient. Therefore, it is easy for patients to be discouraged, impatient to cooperate, sometimes discontinue medication or relapse and because the drug is uncertain specific to all patients, it is necessary to coordinate well between patients and patients. The doctor will reduce the disease as much as possible. Both physicians and patients must be patient in their treatment
Common drugs used for topical treatment:
Keratolytique Vaseline salicylee 3%, 5%, 10%, in children should only use 05% or 1% type
Reducteurs (goudrons), cade oils (huile de Cade) in the form of topical, soaps, or shampoos.
Ultraviolet (UV) -UBV in combination with topical tar: Goeckermann's treatment
-PUVA therapy: psoralene + UVA. Take 8- methoxypsoralene 0.6mg / kg 1-3 hours before UVA irradiation.
. Screening 3 times / week.
Combination of retinoid + PUVA Take etretinate or acitretine 20mg / day and use PUVA therapy.
D3 vitamin derivatives:
Apply 1-2 times / day. There are 3 types:
- Solution: for use on scalp
- Cream: skin folds
- Fat: slippery skin, many scales
Effect: inhibits cell proliferation and anti-inflammatory
Stroke: increased calcium / blood, uncommon
Side effects: redness and burning skin, especially the face, folds.
Used in plaque psoriasis. Topical application should be limited to the area and time of application.
Corticosteroids Many types: betamethasone, hydrocortisone. Not recommended for use because of easy complications and side effects
Retionoid: tazarotene In the form of gel, cream
Immunosuppressant drugs: tacrolimus, pimecrolimus Very good and highly effective, especially psoriasis on the face, eyelids. less complications.
Laser laser light yellow color according to the pulse with a wavelength of 585mm, very good treatment of psoriasis, without complications.
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